GI PATH
intestine
diverticulitis
Meckel Diverticulum
ectopic gastric/pancreatic mucosa
OTHER
persistence of vitelline duct 2 feet from ileocecal valve
sigmoid colon
lower left quadrant
Mesenteric ischemia
sma most common , celiac, IMA
cirrhosis
splenomegaly
lymphoma, sickle cell,
GERD
metaplasia to barrett
esophageal adenocarcinoma
TX: PPI
diverticulosis
herniation of mucosa and submucosa thru musculais propria
stomach
congenital
bile vomitus
distal duodenum
atresia
duodenal atresia
RLQ pain
hematochezia
annular pancreas
Malginancy
angiosarcoma of liver
vinyl chloride
TEF
cyanosis and choking spells
double bubble
pyloric stenosis
FAP
autosomal dominant
pancolonic, always involves rectume
Chromo 5
aorta
celiac trunk
left gastric
splenic
short gastric
FUNDUS
common hepatic
lesser curvature
left gastroepiploic
proper hepatic
jejunal
malrotation
volvulus
LADD
gastric
midgut
sigmoid
Hirschsprung
hypochloremic hypokalemic meta alkalosis
familial dyslipidemia
familial hypercholremia TI
LPL deficeincy
overproduction of VLDL
t2
t3
T4
LDL receptor ?
APO E
autosomal DOMINANT
HIGH TG and pancreatitis
hepatic overproduction of VLDL
app B
athersclerosis
high LDL
high VLDL
tumor
Zollinger ellison
gastrin
peptic ulcer
pancreas or duodenum
angiodysplasia
RLQ
AS, vWF
hernia
direct
indirect
femoral
transverse fascia
infant
superior to inguinal ligament?
medial to artery
lateral to artery
strangulation
diaphramatic
adults
femoral ring
hesselbach
paraesophageal
sliding
up into esophagus
FUNDUS THRU THORAx
gerd
infants
weakness in phrenoespphageal
pleuroperitioneal membrane
left side bc right side protected by liver
liver
common hepatic duct
cystic duct
gallbladder
common bile duct
pancreas head
ampulla
spinchter of oddi
duodenum
left greater curvature
ovarian
testicular
left common iliac
renal
SMA
IMA
internal iliac
external iliac
uterine artery
vaginal arteries
femoral artery
or C 2
bile duct
obstruction
bilirubin in urine that has already been metabolized by UDP glucuronylltransferase
VS HEMOLYSIS: bilirubin excreted into bile and after bacterial conversion and reuptake some will be excreted in urine as urobilin
no urobilin conversion
gi secretory cells
stomach
gastrin, intrinsic factor, pepsin
duodenum
I cells
CCK
S
secretin
K cells
GIP
increases pancreatic secretions and relaxes sphincter of oddi
VIP
neurons
alcoholic hepatitis
Order of damage 1. fatty infiltrate 2. cell balloon 3. eventual necrosis
right gastric
left and right hepatic
cystic artery to galbladder
gastroduodenal
anterior and posterior superior pancreaticoduodenal
right gastroepiploic to right greater curvature
celiac
endomysial antibody
ax w IGA def
avulsion from hepatic vein from IVC
duodenal obstruction
SMA occlusion
pancreas
acute pancreatitis
chronic
splenic vein most likely thrombosed
AD
LDL receptor?
insulin resistance
hepatic encephalopathy
impaired detoxification of ammonia so now ammonia complexes with glutamate in the a keto cycle causing asterixtis
chole
choledocholithiasis
cystic duct stone
enterendocrine cell
wilson disease
AR
ATB7B
iron storage
Primary biliary cholangitis
high ALP, direct bilirubin, normal amylase and lipase, hx of autoimmune
female?
antimito antibody
high ALP, high direct, high amylase and/or lipase
APC gene
pancreas
TUMOR of islet
glucagonma
insulinoma
somatostinoma
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Whipple triad, low blood glucose, sx of hypoglycemia, resolution of sx after normalization of plasma glucose levels
check c peptide to see if its insulinoma or not
peristalsis waves
non bile vomitus
Gastric cancer
intestinal
diffuse
H pylori, nitrosamines, lesser curv
lesser treat, Virchow node
e cadherin
signet ring cells
linitis plastica leather
metastizise
krukenberg bilateral ovraries w signet ring
gastritis
burns curling iron
brain cushion
hypovolemia and ischemia
Type A
TYPE B
fundal (autoimmune) b12 def
astral w h pylori
steattorhea
ercp
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